KELLEY HARRELSON RN, FNP
NPI 1528428471
Nurse Practitioner - Family in Lawrenceville, GA

Active since March 03, 2016PECOS EnrolledAccepts Medicare Assignment
759 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046(678) 442-3121(678) 376-4045 Get Directions Write a Review

NPPES record last updated: March 7, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 7, 2018, Sep 30, 2016, Mar 3, 2016 (3 updates tracked since 2016).

About Kelley Harrelson Rn, Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLEY HARRELSON RN, FNP (NPI 1528428471) is an individual family provider in Lawrenceville, Georgia, licensed in Georgia (RN170755) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1528428471
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLEY HARRELSONCredential: RN, FNP
Location Address759 OLD NORCROSS RDLawrenceville, GA 30046-4317
Mailing Address980 Johnson Ferry Rd, Ste 910Atlanta, GA 30342-1626 · (404) 303-3750 · Fax (404) 252-4755
Fax(678) 376-4045
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 3, 2016
Last NPPES UpdateMarch 7, 20183 updates tracked since enumeration
NPI 1528428471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN170755
759 OLD NORCROSS RD, Lawrenceville, GA 30046

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelley Harrelson Rn, Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779871785
PECOS Enrollment IDI20161006001891
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
84 services69 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
68 services34 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%96 patients5/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
86%76 patients4/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
99%86 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology (Gynecologic Oncology)
759 OLD NORCROSS RD
LAWRENCEVILLE, GA 30046
Obstetrics & Gynecology (Gynecologic Oncology)
759 OLD NORCROSS RD
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Women's Health)
759 OLD NORCROSS RD
LAWRENCEVILLE, GA 30046

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelley Harrelson's NPI number?

The NPI number for Kelley Harrelson is 1528428471. It was assigned to this individual provider in the NPPES registry on March 3, 2016.

Where is Kelley Harrelson located?

Kelley Harrelson practices at 759 Old Norcross Rd, Lawrenceville, GA 30046. The listed phone number is (678) 442-3121.

What is Kelley Harrelson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelley Harrelson enrolled in Medicare?

Yes. Kelley Harrelson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelley Harrelson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kelley Harrelson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelley Harrelson affiliated with any hospitals?

According to CMS data, Kelley Harrelson is affiliated with Northside Hospital Forsyth and Northside Hospital Gwinnett.

When was this NPI record last updated?

The NPPES record for Kelley Harrelson was last updated on March 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.